| Wound Healing On Wheels, Llc | |
|
2010 Bridle Path Wisconsin Rapids WI 54494-0703 | |
| (608) 561-7657 | |
| Not Available |
| Full Name | Wound Healing On Wheels, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2010 Bridle Path, Wisconsin Rapids, Wisconsin |
| Authorized Official Name and Position | Theona Williams-ferreira (OFFICE MANAGER) |
| Authorized Official Contact | 7152541059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Healing On Wheels, Llc 2010 Bridle Path Wisconsin Rapids WI 54494-0703 Ph: (608) 561-7657 | Wound Healing On Wheels, Llc 2010 Bridle Path Wisconsin Rapids WI 54494-0703 Ph: (608) 561-7657 |
| NPI Number | 1154711281 |
|---|---|
| Provider Enumeration Date | 01/27/2015 |
| Last Update Date | 05/12/2016 |
| Medicare PECOS PAC ID | 0446579957 |
|---|---|
| Medicare Enrollment ID | O20150505002348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154711281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin J Ferreira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982712220 PECOS PAC ID: 6406852508 Enrollment ID: I20061012000549 |
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